Att 07_140P8420R0004_PP-Questionnaire_ORIG.doc

Solicitation No. 140P8420R0004 NPS – Whiskeytown National Recreation Area, Shasta County, California Replace Brandy Creek Wastewater Treatment Plant Operations Building

PAST PERFORMANCE QUESTIONNAIRE PACKAGE INFORMATION AND FORMS

Instructions to Offeror for sending Past Performance Questionnaires to references:

Prepare and submit to the owners of the past projects in which you have submitted for Prime/Sub Contractor Experience, a Past Performance Reference Package. For Government contracts, send to the Contracting Officer who awarded the past Government contract.

For commercial references, send to personnel with duties similar to those for Government contracts. Offerors should follow-up and encourage references to get the completed questionnaires to the Contracting Officer via email only to ALANNA_GARDNER@NPS.GOV before the closing date and time of the solicitation. If you have multiple references at one location (Park, etc.), send one cover letter and questionnaire for each contract for which you are requesting a reference. Your questionnaire package should contain the following:

· Cover Letter (See SAMPLE below - page 2 of this document)

· Past Performance Questionnaire (pages 3 and 4 of this document) Offeror must first complete Header Information and complete Sections I & II of the questionnaire in the spaces indicated for identification purposes. The reference must then complete Sections III & IV.

Please Note:

OFFEROR (PRIME CONTRACTOR SUBMITTING PROPOSAL) SHOULD PLACE THEIR COMPANY NAME ON THE TOP RIGHT OF EACH QUESTIONNAIRE PAGE AS THE OFFEROR.

IN THE CASE OF AN OFFEROR PROPOSING TO USE A SUBCONTRACTOR, THE OFFEROR’S (PRIME CONTRACTOR SUBMITTING PROPOSAL) NAME SHALL STILL BE PLACED ON THE TOP RIGHT OF EACH QUESTIONNAIRE PAGE AS THE OFFEROR, AND THE SUBCONTRACTOR’S NAME SHALL BE PLACED IN THE CONTRACTOR NAME SECTION UNDER SECTION I (AND ALL OTHER INFORMATION REQUIRED IN SECTIONS I & II OF THE QUESTIONNAIRE IN THE SPACES INDICATED FOR IDENTIFICATION PURPOSES) BEFORE BEING SENT TO REFERENCES.

OFFEROR SHOULD DELETE THESE INSTRUCTIONS BEFORE SENDING OUT QUESTIONNAIRES.

SAMPLE TRANSMITTAL LETTER AND PAST PERFORMANCE QUESTIONNAIRE

Your Company Letterhead Date:

To:

SHAPE \* MERGEFORMAT

We have listed your firm as a reference for the work we as the prime contractor, or one of our proposed subcontractors, has performed for your firm as listed in Section I of the attached Past Performance Questionnaire. Our firm has submitted a proposal under a project advertised by the National Park Service (Replace Brandy Creek Wastewater Treatment Plant Operations Building, Whiskeytown National Recreation Area, Shasta County, California); responses are due to the Contracting Office no later than 3:00 p.m. Pacific Time on August 3, 2020.

In accordance with the Federal Acquisition Regulation (FAR), they will evaluate our firm's (and any proposed subcontractor’s) past performance. Your candid response to the attached questionnaire will assist the evaluation team in this process. We understand that you have a busy schedule and your participation in this evaluation is greatly appreciated. Please complete the enclosed questionnaire as thoroughly as possible. Space is provided for comments. Understand that while the responses to this questionnaire may be released to the offeror, FAR 15.306 (e)(4) prohibits the release of the names of the persons providing the responses. Complete confidentiality will be maintained. Only one response from each office is required.

Please send your completed questionnaire to the following email address: ALANNA_GARDNER@NPS.GOV on or before AUGUST 3, 2020 by 3:00 p.m. Pacific Time. Do not return them to our company.

If you have questions regarding the attached questionnaire, or require assistance, please contact Alanna Gardner via telephone (415) 464-5197 or email at Alanna_Gardner@nps.gov. Thank you for your assistance.

CHECK ONE: This Questionnaire relates to past performance for □ Offeror (prime contractor) or □ proposed sub-contractor

PAST PERFORMANCE QUESTIONNAIRE

OFFEROR COMPLETE HEADER INFORMATION AND SECTIONS I & II

PRIOR CUSTOMER/REFERENCE COMPLETE SECTIONS III & IV AND SEND TO ALANNA_GARDNER@NPS.GOV

I. CONTRACT IDENTIFICATION

CONTRACTOR NAME:

CONTRACT NO:

CONTRACTOR ADDRESS:

CONTRACT TYPE:

FIRM-FIXED-PRICE

COST REIMBURSEMENT

OTHER: (specify)

ACTIVE

COMPLETED

ROUTINE

COMPLEX

DATES OF PERFORMANCE:

AWARD AMOUNT: $

TOTAL WITH MODS $

PROJECT DESCRIPTION:

II. AGENCY (CUSTOMER) IDENTIFICATION

AGENCY (CUSTOMER) NAME:

POC NAME/TITLE/PHONE:

III. PAST PERFORMANCE RATING

Rating Scale:

E = Excellent. Considerably surpassed requirements/expectations.

G = Good. Surpassed requirements/expectations. S = Satisfactory. Met requirements/expectations M = Marginal. Met some requirements/expectations U = Unsatisfactory. Did not meet requirements/expectations N = Neutral/Unrated. No record of past performance is available – no points of contact could be reached.

G S M U N

G S M U N

G S M U N

G S M U N

e. Compliance w/Davis-Bacon wage rate & labor usage requirements E G S M U N

G S M U N

2. TIMELINESS:

G S M U N

G S M U N

G S M U N

G S M U N

G S M U N

G S M U N

3. BUSINESS RELATIONS:

G S M U N

G S M U N

c. Relationships with subcontractors, including prompt payment E G S M U N

E G S M U N

G S M U N

IV. COMMENTS

Comments required for ratings of E (Considerably Surpassed Requirements) or U (Did Not Meet Requirements)

Item No.

Co mment

Evaluator Name and Title (typed or neatly written):